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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ISLAND INTERNIST PC

Active Organization

ISLAND INTERNIST PC is a General Practice organization located in STATEN ISLAND, New York. NPI 1073669479 is currently active in the NPPES registry. Verify at CMS.

General Practice · STATEN ISLAND, NY

Registration Details

NPI Number
1073669479
Provider Type
Organization
NPI Issued
Jan 26, 2007 (19.559457137685 yrs)
Last Updated
May 27, 2010
Licenses
179723 (NY)
22415 (NY)
171607 (NY)
234484 (NY)
234387 (NY)

Practice Information

Address
420 LYNDALE AVE
STATEN ISLAND, NY, 103126131
Browse NY providers · Browse ZIP 10312
Phone
7189675630
Fax
7189677099
Primary Specialty
General Practice
208D00000X
Additional Specialty
General Practice
Additional Specialty
General Practice
Additional Specialty
General Practice
Additional Specialty
General Practice
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.